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1841216108
JUAN EDGARDO MATOS
PONCE, PR
NPI
1841216108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PR 000275)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- JUAN EDGARDO MATOS O.T.R.
1010 PASEO DEL VETERANO
PONCE, PR 00716-2001
Phone number: 787-812-3030
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Mailing Address
-- JUAN EDGARDO MATOS O.T.R.
PO BOX 1856
COAMO, PR 00769-1856
Phone number: 787-825-5878
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